| NPI | 1073234852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| Additional Taxonomies | 246YC3301X Spec/Tech, Health Info, Coding Specialist, Hospital Based |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 374K00000X Religious Nonmedical Practitioner | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |